52.91.49.203
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>1100000</MaximumLimit>
  <StartDate>01/29/2016</StartDate>
  <EndDate>02/03/2016</EndDate>
  <DestinationPlan>Italy</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Tianna</Firstname>
    <Middlename>K</Middlename>
    <Lastname>Nori</Lastname>
    <Age>29</Age>
    <Dob>02/09/1986</Dob>
    <SportsRider>yes</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>01/29/2016</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>5 Knivet Road</Address1>
      <Address2/>
      <Country>United Kingdom</Country>
      <State/>
      <City>London</City>
      <Postcode>SW6 1JJ</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>tianna.kathleen@gmail.com</Email>
    <Phone>
      <Home>07783361206</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>John Anderton</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Significant other</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Mastercard</CreditcardType>
      <CreditcardNumber>5434582290463274</CreditcardNumber>
      <NameonCreditcard>JPC Anderton</NameonCreditcard>
      <CreditcardExpirationMonth>11</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2017</CreditcardExpirationYear>
      <CreditcardAmount>17.86</CreditcardAmount>
      <CreditcardCodeNumber>130</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
c6da97e1
ARS-02-0024896
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0024896</PolicyNumber><UserName>c6da97e1</UserName><Password>c6da97e1</Password></PolicyDetails></RegistrationRes>